Search
Selected Aspects of Discretionary Spending
… for personal items and other questionable items, such as movie tickets to be sold to employees. Key Recommendations …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/selected-aspects-discretionary-spending-2Medicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… Objective To determine whether Medicaid overpayments for pharmacy services on behalf of managed care recipients who … Medicaid services their recipients require, which includes pharmacy services. Many recipients have other third-party … audit period, HMS’ third-party liability recoveries on MCO pharmacy payments totaled about $118 million. Key Findings We …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsInternal Controls Over Selected Financial Operations (Follow-Up)
… and wholesale licenses, special event and brand label permits, and miscellaneous permits such as those for …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/internal-controls-over-selected-financial-operations-followTechnology Transfer Program and Royalty Payments (Follow-Up)
… ). About the Program As part of its duties, the Research Foundation for the State University of New York (Research Foundation) supports the State University of New York’s … process that requires efforts from the Research Foundation, IP creators, and industry partners to translate …
https://www.osc.ny.gov/state-agencies/audits/2021/02/08/technology-transfer-program-and-royalty-payments-followMedicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… Objective To determine whether Medicaid made improper Supplemental Maternity Capitation Payments to … To determine whether Medicaid made improper Supplemental Maternity Capitation Payments to …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… extent of implementation of the five recommendations made in our initial audit report, Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Report … extent of implementation of the five recommendations made in our initial audit report Inappropriate Premium Payments …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andOversight of Homeless Shelters
… Objective To determine if the Office of Temporary and Disability Assistance (Office) adequately oversees … are operating in compliance with applicable laws, rules, and regulations. Our audit covered the period from July 1, … the Program According to the U.S. Department of Housing and Urban Development’s 2018 Annual Homeless Assessment …
https://www.osc.ny.gov/state-agencies/audits/2020/03/10/oversight-homeless-sheltersOversight of Selected Fiscal Aspects of Homeless Shelter Services (Follow-Up)
… Social Services, is responsible for providing transitional housing and services for eligible homeless families and … existing rates based on shelter occupancy and type (i.e., family or single adult) and internal documents such as Budget …
https://www.osc.ny.gov/state-agencies/audits/2020/05/06/oversight-selected-fiscal-aspects-homeless-shelter-services-followThrough Ages, Inc. – Compliance With the Reimbursable Cost Manual
… ended June 30, 2014. About the Program Through Ages is a New York City-based for-profit organization authorized by SED to provide preschool Special Education Itinerant Teacher (SEIT) services to children with disabilities who are … 2015, Through Ages reported approximately $13.7 million in reimbursable costs for the SEIT preschool cost-based …
https://www.osc.ny.gov/state-agencies/audits/2020/06/03/through-ages-inc-compliance-reimbursable-cost-manualRecovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… Medicaid Program: Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party … the Medicaid services their recipients require, such as pharmacy services. Many recipients have other third-party … 2022, was to determine whether Medicaid overpayments for pharmacy services on behalf of managed care recipients who …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/recovering-managed-care-overpayments-pharmacy-services-behalf-recipients-third-party-healthMedicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… For example, one MCO established a 10-month rental cap on apnea monitors, yet for one recipient the MCO paid $10,450 on …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsMonitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance (Follow-Up)
… officials on a wide range of issues, including the sale of lots, service fees, and acquisition of lands, to promote …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenance-followRestrictions on Consecutive Hours of Work for Nurses (Follow-Up)
… initial audit report Restrictions on Consecutive Hours of Work for Nurses (Report 2017-S-14 ). About the Program The … – referred to as the Restrictions on Consecutive Hours of Work for Nurses Law (Law). Effective July 2009, the Law limits the consecutive hours of work by Registered Nurses (RNs) and Licensed Practical Nurses …
https://www.osc.ny.gov/state-agencies/audits/2019/09/09/restrictions-consecutive-hours-work-nurses-followFinancial Oversight of the Advantage After School Program (Follow-Up)
… activities that integrate what happens in the school day with less formal learning experiences and encourages … among children, youth, and parents in the design and delivery of activities. OCFS awards contracts to eligible … awards and may operate up to two Program sites within the same region. As of September 1, 2018, OCFS reported having …
https://www.osc.ny.gov/state-agencies/audits/2019/09/27/financial-oversight-advantage-after-school-program-followManaged Care Organizations – Payments to Ineligible Providers (Follow-Up)
… ensure the MCOs recover the improper payments; obtain the missing provider IDs on the claims that lacked this … in the initial audit; however, additional action is needed. The Department did not distribute the claims data … MCOs at the end of our review. The Department obtained the missing provider IDs for 19.3 million of the 22.5 million …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/managed-care-organizations-payments-ineligible-providers-followState Agencies Bulletin No. 1970
… and the funds will be remitted to the NYS Office of Unclaimed Funds (OUF). Effective Dates Effective for payroll … and the funds will be escheated and sent to the Office of Unclaimed Funds (OUF) on April 27, 2022. Agency Actions … to the OUF on April 27, 2022 . Employees can visit the Unclaimed Funds - Search for Lost Money website to search …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1970-outreach-and-escheatment-2020-uncashed-payroll-checksState Agencies Bulletin No. 1893
… to overtime that cannot be automatically adjusted by the PayServ system are affected. Background To better … overtime payments that cannot be automatically calculated by the system: New Earnings Code Description ARO Adj Retro … ADJ to adjust overtime payments that were incorrectly paid by the agency: New Earnings Code Description AOR Adjustment …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1893-reporting-adjustments-overtimeCity of Mount Vernon – Non-Payroll Disbursements (2021M-163)
… account for all non-payroll disbursements. Her failure to provide financial information or perform her duties … additional, potentially unnecessary, disbursements related to litigation. The former Comptroller and certain department … Adequate policies and procedures were developed or adopted to ensure claims were always properly authorized, for valid …
https://www.osc.ny.gov/local-government/audits/city/2022/01/31/city-mount-vernon-non-payroll-disbursements-2021m-163CUNY Bulletin No. CU-341
… Job Code Description 016038 Continuing Ed Teacher 016039 Cont Ed Teacher Cred Effective Date(s) Institution Checks … OSC will create the following data: Bargaining Unit - CE (Cont Ed) Union Code for Bargaining Unit CE will be AJC. Union … Manager of Payroll Systems and Operations at CUNY Central Office. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-341-establishment-new-payroll-bargaining-unit-and-benefitMedicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… such as Medicare and group health plans (third-party insurers). Medicaid is considered the payer of last resort … are required to coordinate benefits with third-party insurers prior to billing Medicaid for services. After … adjustments (CARCs), and denials received from other insurers to allow correct calculation of Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claims